364804214-1-16-2025-09-CC-PBEY-DCYNAB-20250116091715

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364804214
Report Date: 01/16/2025
Date Signed: 01/16/2025 09:17:18 AM

Document Has Been Signed on 01/16/2025 09:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	364804214
ADMINISTRATOR/ DIRECTOR:	DORA LOPEZ-OSUNA		FACILITY TYPE:	850
ADDRESS:	10191 FOOTHILL BLVD		TELEPHONE:	(909) 989-6136
CITY:	RANCHO CUCAMONGA	STATE: CA	ZIP CODE:	91730
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 72	CENSUS: 31	DATE:	01/16/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:15 AM
MET WITH:	Catherine Matus/assistant director		TIME VISIT/ INSPECTION COMPLETED:	09:35 AM

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On 1/16/25 at 8:15 am, Licensing Program Analyst (LPA) Patricia Berry conducted a subsequent case management incident investigation in response to the receipt of an unusual incident report (UIR) from the facility. The UIR was received by the licensing agency on 12/26/24. LPA met with assistnat director. LPA toured facility and took a census.

It was reported a child had an unexplained bruise on the left cheek of face 12/10 observed by parent. LPA interviewed all pertinent parties. Based on information gathered, the LPA could not determine if a violation did or did not occur, therefore, there is no violation identified at this time. The facility contacted Community Care Licensing immediately after the parent reported the incident to the director, which parent reported to the director on 12/16.

On 1/7/25 during initial case management visit LPA reviewed two photos staff took of the child's check when the child returned to school on 12/13. From the photo's LPA could not determine if there was a bruise on the left cheek of the face. LPA did not observe any marks on the child's cheek.

An exit interview was conducted and a copy of this report, appeal rights and notice of site visit were provided to the assistant director.

Notice of Site Visit must be posted for 30 days.

SUPERVISORS NAME: Gilbert Sena
LICENSING EVALUATOR NAME: Patricia Berry
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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